Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.23 / $801.24 / $1,429.16	Professional		$503.23	$801.24	$1,429.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.89 / $101.82 / $101.82	Facility		$91.89	$101.82	$101.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.66 / $995.59 / $1,833.90	Professional		$720.66	$995.59	$1,833.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $184.54 / $184.54 / $184.54	Facility		$184.54	$184.54	$184.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $903.43 / $903.43 / $903.43	Professional		$903.43	$903.43	$903.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.03 / $511.03 / $1,255.55	Facility		$511.03	$511.03	$1,255.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.38 / $511.03 / $1,807.50	Professional		$434.38	$511.03	$1,807.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $921.00 / $921.00	Professional		$638.07	$921.00	$921.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,019.97 / $8,228.75 / $8,528.71	Facility		$1,019.97	$8,228.75	$8,528.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.88 / $779.22 / $1,972.37	Facility		$155.88	$779.22	$1,972.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $434.38 / $511.03 / $511.03	Professional		$434.38	$511.03	$511.03
United Facility/Professional Professional Modifier Low / Median / High Price $576.74 / $771.74 / $1,055.34	Professional		$576.74	$771.74	$1,055.34